MacFarlane Ewan, LaMontagne Anthony D, Driscoll Tim, Nixon Rosemary L, Keegel Tessa
Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, 3004, Victoria, Australia.
Population Health Strategic Research Centre, School of Health and Social Development, Deakin University, Burwood, Victoria 3125, Australia.
Contact Dermatitis. 2015 Sep;73(3):157-62. doi: 10.1111/cod.12399. Epub 2015 Apr 27.
The use of antiseptic hand rubs (AHRs), rather than washing with soap and water, is considered to be the gold standard for reducing the frequency of nosocomial infections, as well as being less damaging to the hands than washing with soap and water, but little is known at a population level about usage patterns for AHRs.
To describe AHR use patterns among workers in the health and community services industry in Australia.
Using data from a population-based survey of Australian workers, we focused on health and community services workers' exposure to chemicals at work, including the use of AHRs. Data regarding the frequency of hand-washing were also collected.
Nine hundred and fifty-six health and community service workers participated in the Australian National Hazard Exposure Worker Surveillance survey. Of these, 11% reported using AHRs, and 31% reported hand-washing >20 times per shift. According to an adjusted logistic regression model, professional workers [adjusted odds ratio (aOR) 2.29, 95% confidence interval (CI): 1.40-3.72] and frequent hand washers (aOR 3.08, 95%CI: 1.92-4.93) were more likely to use AHRs.
AHR use by health and community service workers was generally lower than expected. AHR use was most likely to be reported by professionals and frequent hand washers, suggesting that AHRs are used as an adjunct to conventional hand-washing.
使用抗菌洗手液（AHRs）而非用肥皂和水洗手，被认为是降低医院感染发生率的金标准，而且相较于用肥皂和水洗手，其对手部的损伤更小，但在人群层面，对于AHRs的使用模式知之甚少。
描述澳大利亚健康和社区服务行业工作者中AHRs的使用模式。
利用基于澳大利亚工作者人群调查的数据，我们重点关注健康和社区服务工作者在工作中接触化学品的情况，包括AHRs的使用情况。还收集了关于洗手频率的数据。
956名健康和社区服务工作者参与了澳大利亚国家职业危害暴露工作者监测调查。其中，11%报告使用AHRs，31%报告每班洗手超过20次。根据调整后的逻辑回归模型，专业工作者[调整后的优势比（aOR）2.29，95%置信区间（CI）：1.40 - 3.72]和频繁洗手者（aOR 3.08，95%CI：1.92 - 4.93）更有可能使用AHRs。
健康和社区服务工作者中AHRs的使用普遍低于预期。专业人员和频繁洗手者最有可能报告使用AHRs，这表明AHRs被用作传统洗手的辅助手段。
